How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $478.63 Median $1,380.38 Typical High $2,454.71 | Facility | None | $478.63 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $478.63 | Professional | None | $436.52 | $478.63 | $478.63 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,041.74 Median $3,388.44 Typical High $4,677.35 | Facility | None | $2,041.74 | $3,388.44 | $4,677.35 |
BCBS Arkansas Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $512.86 | Professional | None | $389.05 | $389.05 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,949.84 Typical High $2,344.23 | Facility | None | $588.84 | $1,949.84 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $645.65 Typical High $831.76 | Professional | None | $288.40 | $645.65 | $831.76 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,011.87 | Facility | None | $1,096.48 | $1,513.56 | $5,011.87 |
United Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $812.83 | Professional | None | $363.08 | $512.86 | $812.83 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $218.78 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $87.10 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $323.59 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $64.57 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $43.65 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $338.84 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $302.00 | $338.84 | $338.84 |
Where Arkansas sits
The same service costs 5.5 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arkansas· 5th of 51
$1,820
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.